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1568943728
MICHAEL DERRICK MINARDI
TORRINGTON, CT
NPI
1568943728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 4206)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
MICHAEL DERRICK MINARDI PA-C
538 LITCHFIELD ST STE 102
TORRINGTON, CT 06790-6669
Phone number: 860-496-8990
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Mailing Address
MICHAEL DERRICK MINARDI PA-C
503 HIGHCROFT PL
WEATOGUE, CT 06089-7916
Phone number: 970-948-7267
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